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2026年7月28日 星期二

【仁醫說】高壓氧治療勃起功能障礙

 


#仁醫說 

「每次提到 #高壓氧治療,許多病人第一時間會反問我,這不是用在治療傷口癒合嗎?」沒錯!但是,它對於「性福」的提升也是有幫助的喔!

🧐高壓氧如何提升「性福力」?

👉近年研究發現,它在   #勃起功能障礙 (ED)上,也展現出令人期待的潛力,2018年以色列發表了一項前瞻性臨床研究,針對30位平均年齡59歲、罹患勃起障礙約4.2年的患者,進行每週5天、共40次的高壓氧療程,結果發現:

✅約80%(24/30)患者自覺勃起功能改善。

✅ MRI 顯示陰莖海綿體血流明顯增加。

✅海綿體血管新生指標(K-trans)更提升約153%。

🔍 高壓氧如何做到?

👉在高壓氧環境下,患者血液中的氧氣含量顯著增加,改善組織缺氧狀態,有助組織修復,氧氣的高滲透性和高擴散性使其能夠更有效地到達受損組織,因此,具有以下幾項作用:

✔️ 改善局部血液循環

✔️ 促進血管新生

✔️ 降低慢性發炎

✔️ 幫助受損組織修復

⚠️高壓氧具有多項臨床適應症,但具體療程仍需經專業醫師評估後進行。


2024年5月20日 星期一

Can Hyperbaric Oxygen Therapy Treat Sexual Dysfunction? Let's Look at the Israeli Research!

 

Hyperbaric Oxygen Therapy (HBOT) is a widely used treatment method in the medical field that primarily involves placing patients in an environment with higher-than-atmospheric pressure to inhale pure oxygen. 

Initially, this treatment was applied to acute conditions such as decompression sickness (the bends), gangrene, and carbon monoxide poisoning. 

As research has progressed, its indications have gradually expanded to include chronic diseases and other clinical applications (Note 1).

 

Principles of Hyperbaric Oxygen Therapy:

In a hyperbaric oxygen environment, the oxygen content in the patient's blood significantly increases, improving tissue hypoxia, and promoting cell repair and regeneration. 

The high permeability and diffusibility of oxygen allow it to more effectively reach damaged tissues, enhance cellular metabolism, and promote wound healing and infection control. 

Additionally, studies have shown that HBOT has anti-inflammatory, antibacterial, and angiogenic properties, making it effective in various clinical applications.

 

HBOT for Erectile Dysfunction:

A 2018 study from Israel (https://www.nature.com/articles/s41443-018-0023-9) demonstrated that HBOT shows potential efficacy in treating sexual dysfunction, particularly erectile dysfunction (ED).

 

This prospective study involved 30 patients with an average age of 59, who had experienced erectile dysfunction for an average of 4.2 years. 

They underwent HBOT five days a week for a total of 40 sessions (Note 2). 

Besides the International Index of Erectile Function (IIEF) questionnaire, MRI was used to track penile blood flow before and after treatment. 

The results showed that up to 80% (24/30) of patients reported an improvement in erectile function. 


MRI also revealed significant angiogenesis in the corpora cavernosa, with the K-trans value increasing by 153.3±43.2% (p<0.0001).

 


HBOT improves blood flow and tissue oxygenation in the penile corpora cavernosa, providing a novel and potentially significant alternative therapy.

 

Dr. Huang's Conclusion:

HBOT not only shows remarkable effects in managing acute conditions but also demonstrates extensive potential in treating chronic diseases and functional disorders. 

As more clinical trials and research are conducted, we look forward to more effective treatments for erectile dysfunction, offering patients more comprehensive and personalized therapeutic options!

 

 

Note 1:

Indications for HBOT include:

1.    Air or gas embolism

2.    Acute burns

3.    Carbon monoxide poisoning

4.    Central retinal artery occlusion

5.    Gas gangrene

6.    Compromised grafts and flaps

7.    Acute ischemias like compartment syndrome

8.    Decompression sickness (the bends)

9.    Delayed radiation injuries

10. Enhanced wound healing

11. Sudden hearing loss

12. Intracranial abscess

13. Necrotizing soft tissue infections

14. Refractory osteomyelitis

15. Severe anemia

16. Autoimmune diseases

17. Post-COVID syndrome

18. Cancer adjunctive treatment

19. Erectile dysfunction

20. Ischemic stroke and brain injuries

21. Anti-aging potential

 

Note 2:

Patients were treated in a hyperbaric chamber (HAUX-Life-Support GmbH, Germany) at 2 atmospheres absolute (ATA) with 100% oxygen for 90 minutes, with a 5-minute break every 30 minutes.

 

References:

A General Overview on the Hyperbaric Oxygen Therapy: Applications, Mechanisms and Translational Opportunities

https://www.mdpi.com/1648-9144/57/9/864

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